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目的探讨超声结合临床筛查6月龄以下婴儿发育性髋关节异常(DDH)的应用价值。方法选取2012年2月~2013年2月在该院儿童保健门诊检查的0~6个月可疑患儿4 113例为研究对象,经高频超声进一步检查,采用Graf超声波髋关节检查方法,并按分类标准对筛查结果进行统计分析。结果超声检查4 113例可疑患儿,正常髋关节4 052例,占98.5%;DDH 61例,检出率1.5%,其中男22例,女39例。经临床干预保守治疗,57例恢复正常,3例失访,Ⅲ型脱位1例。结论超声结合临床筛查可作为目前条件下大范围筛查DDH的首选方法。
Objective To investigate the value of ultrasound combined with clinical screening of developmental hip dysfunction (DDH) in infants under 6 months of age. Methods A total of 4 113 suspicious children from 0 to 6 months in child health clinic of our hospital from February 2012 to February 2013 were selected as subjects and further examined by high frequency ultrasound with Graf ultrasonic hip joint examination. According to the classification of the statistical analysis of screening results. Results 4 113 cases of suspicious children were diagnosed by ultrasound. There were 4 052 cases of normal hip joint, accounting for 98.5%. Among 61 cases of DDH, the detection rate was 1.5%, including 22 males and 39 females. After conservative treatment by clinical intervention, 57 cases returned to normal, 3 cases lost to follow up, and 1 case had type Ⅲ dislocation. Conclusion Ultrasound combined with clinical screening can be used as a screening method for DDH in the current conditions the preferred method.